The body composition in myocardial infarction males. Novel findings in both the association and relationship between anthropometric indicators of risk

  1. Martín-Castellanos, Ángel
  2. Cabañas, María Dolores
  3. Martín, Pedro
  4. Barca, Francisco Javier
Revista:
Journal of Negative and No Positive Results: JONNPR

ISSN: 2529-850X

Año de publicación: 2017

Volumen: 2

Número: 9

Páginas: 388-398

Tipo: Artículo

DOI: 10.19230/JONNPR.1547 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Journal of Negative and No Positive Results: JONNPR

Resumen

Objetivo: el objetivo de este estudio era realizar un análisis antropométrico, incluyendo indicadores comunes, el somatotipo y la grasa corporal en varones con infarto de miocardio.Método: estudio transversal en 116 varones de 30 a 75 años de edad. Resultados: peso (81,6±13,2 kg); altura (169,4±7,1 cm); circunferencia de cintura (CC) (98,3±18,5 cm); circunferencia umbilical (102,4 ±21,8); circunferencia de cadera (99,3±13,6 cm); índice de masa corporal (IMC) (28,4±4 kg/m2); índice cintura-cadera (ICCad) (0,99±0,1, CI: 0,97-1)); índice cintura-talla (ICT) (0,58±0,1, CI: 0,56-0,60); grasa corporal (27,4%±4,5); endomorfia (4,6±1,3); mesomorfia (5,7±1,2); ectomorfia (0,8±0,8); índice de conicidad (1,30±0,17). Correlaciones: IMC: grasa corporal (0,70), cintura (0,70), ICCad (0,48), ICT (0,72), endomorfia (0,82), mesomorfia (0,81), ectomorfia (-0,81); ICCad: grasa corporal (0,38), cintura (0,69), endomorfia (0,39), mesomorfia (0,38); ICT: grasa corporal (0,50), cintura (0,96), endomorfia (0,58), mesomorfia (0,56), ectomorfia (-0,56); conicidad: cintura (0,85), ICCad (0,58), ICT (0,85), endomorfia (0,45). Prevalencia: ICT (92%), ICCad ≥0,95 (87%), índice de conicidad (86,7%), ICCad ≥1 (64%), grasa corporal ≥25 (69,4%), IMC ≥25-29,9 (45,6%), IMC ≥30 (37%), endomorfia ≥4,5 (47,2%), mesomorfia ≥5,6 (50%), ectomorfia ≤1,1 (71%).Conclusiones: los varones con infarto de miocardio presentan un perfil antropométrico de alto riesgo. El somatotipo es mesomorfo endomórfico. Las medidas de cintura, cadera y altura muestran diferente implicación en la composición corporal. La obesidad con criterio de índice de masa corporal es el indicador con más débil asociación, y no discrimina entre los componentes corporales. El índice cintura-cadera presenta alta prevalencia pero una débil relación con la composición corporal de riesgo. El índice cintura-talla refleja una distribución del volumen corporal y presenta las mejores correlaciones con los componentes corporales de riesgo, siendo el índice más prevalente y adecuado para explicar el riesgo biológico asociado al infarto de miocardio. 

Referencias bibliográficas

  • Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation. 2009;120 (16): 1640-5.
  • Aranceta-Batrina J, Pérez-Rodrigo C, Alberdi-Aresti G, Ramos-Carrera N, Lázaro-Masedo S. Prevalencia de obesidad general y obesidad abdominal en la población adulta española (25-64 años) 2014-2015: estudio ENPE. Rev Esp Cardiol. 2016; 69: 579-87.
  • Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev. 2012; 13 (3): 275-86.
  • Brown JC, Harhay MO, Harhay MN. Anthropometrically-predicted visceral adipose tissue and mortality among men and women in the third national health and nutrition examination survey (NHANES III). Am J Hum Biol. 2017;29:e22898. doi:10.1002/ajhb.22898.
  • Cameron AJ, Magliano DJ, Söderberg S. A systematic review of the impact of including both waist and hip circumference in risk models for cardiovascular diseases, diabetes and mortality. Obes Rev. 2013; 14(1): 86-94.
  • Carter JEL. The Heath-Carter Anthropometric Somatotype Instruction Manual. Department of Exercise and Nutritional Sciencies. San Diego State University: San Diego CA; 2002.
  • Durnin JVGA, Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr. 1974; 32(1): 77-97.
  • Egeland GM, Igland J, Vollset SE, Sulo G, Eide GE, Tell GS. High population attributable fractions of myocardial infarction associated with waist-hip ratio. Obesity. 2016; 24 (5):1162-9.
  • Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. PREDIMED Study Investigators. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. N Engl J Med. 2013; 368 (14): 1279- 90.
  • GBD 2015 Mortality and Causes of Death Collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause- specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388:1459-544.
  • Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr 2000; 72: 694-701.
  • Gavriilidou NN, Pihlsgard M, Elmstahl S. Anthropometric reference data for elderly Swedes and its diseaserelated pattern. Eur J Clin Nutr. 2015; 69(9):1066-75.
  • Gruson E, Montaye M, Kee F, Wagner A, Bingham A, Ruidavets JB, et al. Anthropometric assessment of abdominal obesity and coronary heart disease risk in men: the PRIME study. Heart. 2010; 96 (2):136-40. doi: 10.1136/hr.2009.171447.
  • Guasch-Ferré M, Bulló M, Martínez-González MÁ, Corella D, Estruch R, Covas MI, et al. Waist-to-Height Ratio and Cardiovascular Risk Factors in Elderly Individuals at High Cardiovascular Risk. PLoS ONE. 2012; 7(8):e43275. doi: 10.1371/journal.pone.0043275.
  • Heikkilä A, Venermo M, Kautiainen H, Arnio P, Korhonen P. Short stature in men is associated with subclinical peripheral arterial disease. Vasa 2016; 45(6):486-490.
  • Hyung-Geun Oh, Shiram Nallamsshetty, Eun-Jung Rhee. Increased Risk of Progression of Coronary Artery Calcification in Male Subjects with High Baseline Waist-to-Height Ratio: The Kangbuk Samsung Health Study. Diabetes Metab J. 2016; 40:54-61. doi:10.4093/dmj.2016.40.1.54.
  • Instituto Nacional de Estadística. Causas de defunción. 2015. Madrid: INE; 2016. Available in: http://www.ine.es/inebase/index.html. Accessed Mar 15, 2017.
  • Martín-Castellanos A, Cabañas-Armesilla MD, Barca-Durán FJ, Martín-Castellanos P, Gómez-Barrado JJ. Obesity and risk of Myocardial Infarction in a Sample of European Males. Waist To-Hip-Ratio Presents Information Bias of the Real Risk of Abdominal Obesity. Nutr Hosp. 2017; 34 (1): 88-95. doi.org/10.20960/nh.982.
  • Martín-Castellanos A. Anthropometric profile, body composition and somatotype study, in patients with Acute Coronary Syndrome of the Health Area of Caceres. PhD Thesis, Complutense University, Madrid, Spain, 2014.
  • Paajanen TA, Oksala NK, Kuukasjärvi P, Karhunen PJ. Short stature is associated with coronary heart disease: a systematic review of the literature and a meta-analysis. Eur Heart J. 2010. 31 (14):1802-9.
  • Romero-Corral A, Somers VK, Sierra-Johnson J, Jensen MD, Thomas RJ, Squires RW, et al. Diagnostic performance of body mass index to detect obesity in patients with coronary artery disease. Eur Heart J. 2007; 28(17):2087-93. doi:10.1093/eurheartj/ehm243.
  • Roriz AK, Passos LC, de Oliveira CC, Eickemberg M, Moreira PdeA, Sampaio LR. Evaluation of the Accuracy of Anthropometric Clinical Indicators of Visceral Fat in Adults and Elderly. PLoS ONE. 2014; 9(7): e103499. doi:10.1371/journal.pone.0103499.
  • Song X, Jousilahti P, Stehouwer CD, Söderberg S, Onat A, Laatikainen T, et al. Comparison of various surrogate obesity indicators as predictors of cardiovascular mortality in four European populations. Eur J Clin Nutr. 2013; 67(12): 1298-302.
  • Stewart A, Marfell-Jones M, Olds T, De Ridder H. International standards for anthropometric assessment. International Society for the Advancement of Kinanthropometry. ISAK. Lower Hutt, New Zealand; 2011. pp. 50-53, 83-85.
  • Trenkwalder T, Kessler T, Schunkert H, Erdmann J. Genetics of coronary artery disease: Short people at risk?. Expert Rev Cardiovasc Ther. 2015; 13 (11): 1169-72. doi: 10.1586/14779072.2015.1094377.
  • Valdez R, Seidell JC, ANH Yi, Weiss KM. A new index of abdominal adiposity as an indicator of risk for cardiovascular disease. A cross population study. Int J Obesity. 1992: 17: 77-82.
  • WHO. Obesity and overweight; 2014 [updated June 2016]. Fact sheet No 311. Available in: http//www.who.int/mediacentre/factsheets/fs311/en/. Accessed Jan 29, 2017
  • Williams SR, Goodfellow J, Davies B, Bell W, McDowell I, Jones E. Somatotype And Angiographically Determined Atherosclerotic Coronary Artery Disease In Men. Am J Human Biol. 2000; 12 (1): 128-38.
  • Williams SR, Jones E, Bell W, Davies B, Bourne MW. Body habitus and coronary heart disease in men. A review with reference to methods of body habitus assessment. Eur Heart J. 1997; 18: 376-93.
  • Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commenford P, et al. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries: a case-control study. Lancet. 2005; 366; 1640-9.